| NPI | 1538325717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLTON KEITH HENDERSON Executive Director 901-493-1103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: TN I000000002860) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |